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Epidemiology of traumatic spinal cord injury in New Zealand (2007–2016)

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Summary:

The epidemiology of traumatic spinal cord injury in New Zealand was investigated over a 10-year period using data from 929 patients newly admitted to New Zealand’s two spinal rehabilitation units between January 2007 and December 2016. The incidence of traumatic spinal cord injury increased by 6% each year with an average incidence of 22 per million people. The incidence in Māori increased by 14% per year with an average incidence of 29 per million people. This was 1.8 times higher than the average incidence of 16 per million people in Europeans. The most common causes of traumatic spinal cord injury were falls (32%), transport (32%) and sports (22%). Cervical spinal cord injuries were predominant with an incidence of 54%. Cervical level injuries were most prevalent in adults aged >75 years (70%) and accounted for a higher proportion of spinal cord injuries in Maori (61%) and Pacific (76%) patients. Hospital length of stay decreased over the study period but surgical rates remained stable at 77%.

Comment:
A few interesting takes from this with respect to Māori health. Prevention strategies must target those most at risk. Also interesting to understand the more common sites for Māori and how we manage these. Finally, although I can see the benefits of decreased length of hospital stay, I’d need to know that this was associated with equitable outcomes.
Reference: N Z Med J. 2020;133(1509):47-57.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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